Unified Care Management Platform for  Primary Care Practice

Coordinate patient engagement, documentation, and Medicare care management workflows through one connected platform. 

Built for primary care, internal medicine, and value-based care organizations.

Why Primary Care Practices Are Changing How They Deliver Care

Modern primary care extends far beyond in-office visits. Practices today must manage chronic conditions between appointments, coordinate post-discharge care, monitor patient adherence and recovery progress, and maintain Medicare-compliant documentation across multiple care programs. Yet many practices still rely on disconnected workflows, manual coordination, and EHR systems not built for longitudinal care management. 

One Platform for All Major Care Management Programs

Advaa Care unifies care program execution into a single operational system.

Remote Patient Monitoring (RPM)

Monitor patient vitals remotely with connected devices, automated engagement workflows, and structured documentation and reimbursement tracking.

Chronic Care Management (CCM)

Deliver structured monthly care coordination for patients with multiple chronic conditions using documented engagement and time-based billing support.

Behavioral Health Integration (BHI)

Integrate mental health screening, documentation, and coordinated care workflows into primary care operations.

Transitional Care Management (TCM)

Manage post-discharge patients with structured follow-ups, medication reconciliation, and Medicare-compliant workflows for 99495 and 99496 billing.

Remote Therapeutic Monitoring (RTM)

Track therapy adherence, rehabilitation progress, and patient-reported outcomes for musculoskeletal, rehabilitation, and recovery-based care programs

Principal Care Management (PCM)

Provide focused care coordination for patients with a single high-risk chronic condition requiring continuous clinical oversight.

Designed for Clinical Outcomes + Revenue Performance

Care programs are not just clinical workflows—they are structured revenue streams for primary care practices.

  • RPM & CCM reimbursement capture
  • TCM billing compliance accuracy
  • Care program enrollment rates
  • Staff efficiency per patient panel
  • Medicare-compliant documentation
EHR INTEGRATION

How Advaa Care Fits into Your Existing Workflow

No disruption to your current EHR. Advaa Care works alongside your clinical systems to scale your care programs.

✓ Identify eligible patients
✓ Assign care programs
✓ Track engagement
✓ Real-time documentation
✓ Coordinate care teams
✓ Audit-ready records

From Fragmented Tools to Unified Care Execution

Most primary care practices manage care programs through disconnected systems and manual workflows. Advaa Care centralizes care management operations into one coordinated platform 

Traditional Setup
Separate RPM tools
Separate CCM tracking systems
Manual TCM workflows
Disconnected billing
Multiple patient records
Staff-heavy processes
Fragmented reporting
Advaa Care Unified
One connected platform
Unified RPM, CCM, BHI & more
Structured automation
Centralized reimbursement
One longitudinal patient view
Streamlined collaboration
Audit-ready documentation

Why Practices Choose Advaa Care

EHRs alone are not designed to operationalize care management. Advaa Care helps practices bridge the gap by connecting patient engagement, reimbursement workflows, and coordinated care delivery in one platform.

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Structured Care Program Execution

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Automated Patient Engagement

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Coordinated Billing Workflows

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Cross-Program Care Management

Simplify How Your Practice Runs Care Management Programs

Join the modern healthcare providers using a unified clinical and administrative workflow.